Canadian Expert Panel Recommendations for MRI Use in MS Diagnosis and Monitoring
| العنوان: | Canadian Expert Panel Recommendations for MRI Use in MS Diagnosis and Monitoring |
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| المؤلفون: | Laurent Létourneau-Guillon, Sarah von Riedemann, J. Marc Girard, Aditya Bharatha, Vikram S. Wadhwa, Jiwon Oh, Robert Vandorpe, Anthony Traboulsee, Santanu Chakraborty, David K.B. Li, Mark S. Freedman, John T. Lysack, Sarah A. Morrow, Talia Vertinsky, Paul O'Connor, Manas Sharma, Fabrizio Giuliani, James J. Marriott, Luanne M. Metz |
| المصدر: | The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques |
| بيانات النشر: | Cambridge University Press (CUP), 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Canada, medicine.medical_specialty, Pathology, Consensus, Multiple Sclerosis, Best practice, Contrast Media, Gadolinium, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, 0302 clinical medicine, Clinical Protocols, Health care, medicine, Humans, Medical physics, Subclinical disease, Monitoring, Physiologic, Protocol (science), neuroimaging, Clinically isolated syndrome, business.industry, Multiple sclerosis, Brain, McDonald criteria, Original Articles, General Medicine, medicine.disease, Magnetic Resonance Imaging, 3. Good health, Neurology, multiple sclerosis MRI, Resource use, Neurology (clinical), business, 030217 neurology & neurosurgery |
| الوصف: | Background: A definitive diagnosis of multiple sclerosis (MS), as distinct from a clinically isolated syndrome, requires one of two conditions: a second clinical attack or particular magnetic resonance imaging (MRI) findings as defined by the McDonald criteria. MRI is also important after a diagnosis is made as a means of monitoring subclinical disease activity. While a standardized protocol for diagnostic and follow-up MRI has been developed by the Consortium of Multiple Sclerosis Centres, acceptance and implementation in Canada have been suboptimal. Methods: To improve diagnosis, monitoring, and management of a clinically isolated syndrome and MS, a Canadian expert panel created consensus recommendations about the appropriate application of the 2010 McDonald criteria in routine practice, strategies to improve adherence to the standardized Consortium of Multiple Sclerosis Centres MRI protocol, and methods for ensuring effective communication among health care practitioners, in particular referring physicians, neurologists, and radiologists. Results: This article presents eight consensus statements developed by the expert panel, along with the rationale underlying the recommendations and commentaries on how to prioritize resource use within the Canadian healthcare system. Conclusions: The expert panel calls on neurologists and radiologists in Canada to incorporate the McDonald criteria, the Consortium of Multiple Sclerosis Centres MRI protocol, and other guidance given in this consensus presentation into their practices. By improving communication and general awareness of best practices for MRI use in MS diagnosis and monitoring, we can improve patient care across Canada by providing timely diagnosis, informed management decisions, and better continuity of care. |
| تدمد: | 2057-0155 0317-1671 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::67949d5aaf277d672ab9608ab08b47f0 https://doi.org/10.1017/cjn.2015.24 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....67949d5aaf277d672ab9608ab08b47f0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20570155 03171671 |
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